- Title
- Differentiation of lipoedema from bilateral lower limb lymphoedema by imaging assessment of indocyanine green lymphography
- Creator
- Mackie, Helen; Thompson, Belinda M.; Suami, Hiroo; Heydon-White, Asha; Blackwell, Robbie; Blake, Fiona Tisdall; Koelmeyer, Louise A.
- Relation
- Clinical Obesity Vol. 13, Issue 3, no. e12588
- Publisher Link
- http://dx.doi.org/10.1111/cob.12588
- Publisher
- Wiley-Blackwell
- Resource Type
- journal article
- Date
- 2023
- Description
- Lipoedema is characterized by disproportionate painful fat accumulation mostly in the lower limbs. The presence of lymphoedema in lipoedema remains controversial. This study aimed to assess the presence or absence of lymphoedema in the lower limbs of women with lipoedema using indocyanine green (ICG) lymphography. A cross-sectional retrospective study was undertaken in women with a clinical diagnosis of lipoedema whose lower limbs were examined with ICG lymphography. MD Anderson Cancer Center (MDACC) ICG staging was used to determine lymphoedema presence and severity. Patient characteristics, ICG lymphography findings, Stemmer sign, body mass index, waist-to-hip ratio, limb volume and bioimpedance spectroscopy measures were recorded. Forty women with lipoedema underwent ICG lymphography for the lower limbs from January 2018 to July 2022. Thirty-four women (85.0%) were determined by ICG lymphography as MDACC ICG Stage 0 representing normal lymphatics. Of the six women who demonstrated dermal backflow on ICG lymphography, all were determined as ICG Stage 1, four had localized traumatic dermal backflow area at their ankles, one had previously diagnosed with primary lymphoedema and one was classified as lipoedema stage 4. ICG lymphography findings suggested the absence of lymphoedema in a clear majority of women with lower limb lipoedema.
- Subject
- lip; lymphatic vessels; oedema; oedemaindocyanine green lymphography
- Identifier
- http://hdl.handle.net/1959.13/1493867
- Identifier
- uon:53655
- Identifier
- ISSN:1758-8103
- Rights
- © 2023 The Authors. Clinical Obesity published by John Wiley & Sons Ltd on behalf of World Obesity Federation. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited (https://creativecommons.org/licenses/by/4.0/).
- Language
- eng
- Full Text
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